Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10335 | Date 25/11/2021 |
| Token No | SM/22-23/11339 04/04/2022 | Serial | 013 Last Visit: 18/10/2022 |
| Patient Name | Mr. SEKH SAMIRUL ISLAM | Contact No | 9930602776 |
| Address | DIGNAGAR,HOOGHLY | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||